By: Sampath Kumar  May. 21, 2021

Ascension St. Mary's Hospital in Saginaw, MI, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9907 in the year 2021, which could result in an estimated penalty of $339,405. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for Ascension St. Mary's Hospital during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Ascension St. Mary's Hospital can avoid VBP penalties by reducing MSPB Cost by 7.8%.

By: Sampath Kumar  May. 20, 2021

HSHS St. John's Hospital in Springfield, IL, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9932 in the year 2021, which could result in an estimated penalty of $508,031. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for HSHS St. John's Hospital during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that HSHS St. John's Hospital can avoid VBP penalties by reducing MSPB Cost by 9.4%.

By: Sharath Joji  May. 20, 2021

Mount Sinai South Nassau in Oceanside, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.996 in the year 2021, which could result in an estimated penalty of $336,543. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for Mount Sinai South Nassau during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Mount Sinai South Nassau can avoid VBP penalties by reducing MSPB Costs by 5.4%.

By: Sampath Kumar  May. 19, 2021

Ascension Macomb-Oakland Hospital in Madison Heights, MI, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9936 in the year 2021, which could result in an estimated penalty of $471,977. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for Ascension Macomb-Oakland Hospital during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Ascension Macomb-Oakland Hospital can avoid VBP penalties by reducing MSPB Cost by 5.7%.

By: Debasish Choudhury  May. 18, 2021

Washington Hospital, Fremont, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9946 in the year 2021, which could result in an estimated penalty of $388,249. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for Washington Hospital during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Washington Hospital can avoid VBP penalties by reducing MSPB Cost by 5.7%.

By: Sampath Kumar  May. 18, 2021

Aultman Hospital in Canton, OH, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9919 in the year 2021, which could result in an estimated penalty of $411,674. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for Aultman Hospital during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Aultman Hospital can avoid VBP penalties by reducing MSPB Cost by 10.4%.

By: Sharath Joji  May. 17, 2021

LewisGale Medical Center in Salem, VA, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9922 in the year 2021, which could result in an estimated penalty of $444,436. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for LewisGale Medical Center during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that LewisGale Medical Center can avoid VBP penalties by reducing MSPB Costs by 8%.

By: Sampath Kumar  May. 17, 2021

Community Hospital North in Indianapolis, IN, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9965 in the year 2021, which could result in an estimated penalty of $153,900. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for Community Hospital North during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Community Hospital North can avoid VBP penalties by reducing MSPB Cost by 7.4%.

By: Debasish Choudhury  May. 17, 2021

University of California Irvine Medical Center, Orange, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9967 in the year 2021, which could result in an estimated penalty of $193,540. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for University of California Irvine Medical Center during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that University of California Irvine Medical Center can avoid VBP penalties by reducing MSPB Cost by 5.0%.

By: Sampath Kumar  May. 13, 2021